Individual
HERNAN PATINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
409 GLENWOOD ST STE 500, GLEN ROSE, TX 76043-4933
(254) 897-2202
(254) 897-2102
Mailing address
PO BOX 3129, GLEN ROSE, TX 76043-3129
(254) 897-2202
(254) 897-2102
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
F2389
TX
Other
Enumeration date
10/12/2005
Last updated
08/16/2011
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